Certificate of Indigency (Emergency Philhealth)

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Republic of the Philippines

Province of Cotabato
City of Kidapawan
OFFICE OF THE PUNONG BARANGAY
Barangay Amas

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to CERTIFY that MR. JUMAR S. ALBA of legal age,


single/married/widow and a resident of Purok Mangga Barangay Amas
Kidapawan City for a period of Thirty-one (31) years. He was born
on August 24, 1992 at Amas, Kidpawan, Cotabato.

This is CERTIFY FURTHER that the above mentioned named person


belongs to an Indigent Family Member of this community whose
annual income is below Thirty-five Thousand Pesos (Php 35, 000.00)
only.

This CERTIFICATION is being issued upon the request of


NORHAIDA M. ALBA for MEDICAL ASSISTANCE purposes only.

Issued this 19th day of February, 2024 at Barangay Amas,


Kidapawan City.

HON. NELVIN P. NAVIAMOS


Punong Barangay
OR Number : 2937808
Date Issued : 02/19/2024
Amount : Php 20.00
Validity : 6 months

Republic of the Philippines


Province of Cotabato
City of Kidapawan
OFFICE OF THE PUNONG BARANGAY
Barangay Amas

CERTIFICATE OF INDIGENCY

TO WHOM IT MAY CONCERN:

This is to CERTIFY that MRS. MERIAM E. PANTORILLA, of legal age,


married and a resident of Purok Golden Shower, Barangay Amas Kidapawan
City for a period of Thirteen (13) years. She was born on May 13, 1977
at Sudapin, Kidapawan North Cotabato.

This is CERTIFY FURTHER that the above mentioned named person


belongs to an Indigent Family Member of this community whose annual
income is below Thirty-five Thousand Pesos (Php 35, 000.00) only.

This CERTIFICATION is being issued upon the request of MR. JOSE C.


PANTORILLA for MEDICAL ASSISTANCE (MALASAKIT) purposes only.

Issued this 15TH day of March, 2024 at Barangay Amas, Kidapawan


City.

HON. NELVIN P. NAVIAMOS


Punong Barangay
OR Number :
Date Issued : 03/15/2024
Amount : Php 20.00
Validity : 6 months

Republic of the Philippines


Province of Cotabato
City of Kidapawan
OFFICE OF THE PUNONG BARANGAY
Barangay Amas

CERTIFICATE OF INDIGENCY
TO WHOM IT MAY CONCERN:

This is to CERTIFY that MR./MRS./MISS


____________________________, of legal age, single/married/widow and a
resident of Purok ______________, Barangay Amas Kidapawan City for a
period of _______________( ) years/months She/he was born on
_____________________ at _________________________________.

This is CERTIFY FURTHER that the above mentioned named person


belongs to an Indigent Family Member of this community whose annual
income is below Thirty-five Thousand Pesos (Php 35, 000.00) only.

This CERTIFICATION is being issued upon the request of


___________________________ for ____________________________ purposes
only.

Issued this _____________day of ____________, 2023 at


Barangay Amas, Kidapawan City

HON. NELVIN P. NAVIAMOS


Punong Barangay
OR Number : _________________
Date Issued : _________________
Amount : ________________
Validity : 6 months

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